PROSPORT WELLNESS CENTER, LLC

MARIETTA, GA
NPI1689798811
Entity TypeOrganization
Authorized ContactMICHAEL B WAX
CEO
770-454-8300
Organization Subpart ?No
Primary Taxonomy111NR0400X 
(Licence: GA  CHIR005750)
Enumeration Date2007-03-16
Last Update Date2020-08-22
Business Address
PROSPORT WELLNESS CENTER, LLC
2000 POWERS FERRY RD. SUITE A
MARIETTA, GA 30067
Phone number: 770-454-8300
Mailing Address
PROSPORT WELLNESS CENTER, LLC
5464 PEACHTREE INDUSTRIAL BLVD
CHAMBLEE, GA 30341
Phone number: 770-454-8300
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